Case reports
A case of Haemophilus parainfluenzae
pneumonia
A Pillai, J L Mitchell, S L Hill, R A Stockley
Department of
Respiratory Medicine, Queen Elizabeth Hospital, Edgbaston, Birmingham
B15 2TH, UK
Correspondence to: Professor R A Stockley
Received 15 April 1999; Returned to authors 9 June 1999; Revised version received 27 September 1999; Accepted for publication 14 October 1999
A 41 year old woman presented with community acquired
pneumonia (CAP) which failed to resolve following treatment with
amoxycillin and cefaclor prior to referral. Quantitative culture of
sputum revealed a pure growth of Haemophilus
parainfluenzae and, following antibiotic susceptibility testing
of the isolate, ciprofloxacin was prescribed resulting in resolution of
the infection. Immunological investigations showed that the patient had
a high titre of H parainfluenzae specific
IgM. The combination of a pure growth of H
parainfluenzae, a response to appropriate antimicrobial therapy,
and the presence of a specific antibody response indicated that this
organism had a pathogenic role in the patient's pneumonia and should
be considered in the differential diagnosis of CAP.
Keywords: Haemophilus parainfluenzae; pneumonia
© 2000 by Thorax
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